Individual
DR. ANTHONY J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
287 N LAKE ST, MUNDELEIN, IL 60060
(847) 566-5350
(847) 566-5392
Mailing address
287 N LAKE ST, MUNDELEIN, IL 60060
(847) 566-5350
(847) 566-5392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019 023913
IL
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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